Kooperman, Scott Ellis
Kooperman, Scott Ellis is an individual health care provider with primary practice located at 9312 Deer Creek Dr , Tampa FL 33647-2286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kooperman, Scott Ellis can be contacted via phone (813) 575-9993.Contact Information
Primary practice address
9312 Deer Creek Dr
Tampa FL 33647-2286
Phone: (813) 575-9993
Fax: (813) 575-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 110838 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 30200 | Kentucky |
Profile Details
| NPI number | 1558366310 |
|---|---|
| LBN Legal business name | Kooperman, Scott Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Nov 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558366310 | NPPES |
| Kentucky | MEDICAID | 64030208 |
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